Isolated Tuberculous Liver Abscesses in Down Syndrome

Isolated tuberculosis (TB) liver abscesses have rarely been documented in the literature. This report describes the challenging diagnosis of primary liver TB. We report on the case of a 10-year-old girl with Down syndrome, who had symptoms of fever and chills, anorexia and intermittent vomiting. The ultrasound and computed tomography (CT) revealed multiple abscess-like lesions in the liver. A diagnosis of TB should be considered in patients with hepatic abscesses, particularly in those patients who have possible immunodeficiency, such as Down syndrome.